Principal Care Management
CPT states, “Principal care management represents services that focus on the medical and/or psychological needs manifested by a single, complex chronic condition expected to last at least 3 months and includes establishing, implementing, revising, or monitoring a care plan specific to that single disease.”
This FAQ addresses the following:
- What is principal care management (PCM)?
- What are the required elements of PCM?
- What is high risk?
- Who can provide PCM?
- When is PCM reasonable and necessary?
- How is PCM reported on a claim?
- What is Medicare’s allowable for PCM?
- Can PCM be combined with other services?
- How is PCM documented?
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